Foster Application

Contact Information

Name of Applicant*

Name of Co-Applicant

Email Address*

Home Phone

Cell Phone

Address

City

State

Zip Code

Applicant Occupation and Work Schedule

Co-Applicant Occupation and Work Schedule

Preliminary Information

If we called you tomorrow with the perfect foster Golden, would you be ready? Yes No

Please explain...

How did you learn about GRRH?

New Family Information

Please list all members of your household (excluding pets). Indicate names & ages.

Please list all pets (dogs, cats, birds, etc.) in your household. Include names, ages, breeds, & genders.

Are all of your pets spayed and/or neutered? Yes No

Please indicate the status for each pet.

Other than children living in the household, will your Golden come into contact with any children under the age of 5 (e.g. grandchildren, neighbors, etc.)? Yes No

How often and what ages?

Do any elderly or physically challenged family members live with you or visit frequently? Yes No

Home Environment

What type of dwelling do you live in?

Do you have a fenced yard? Yes No

What is the type and height of the fence?

Do you have a dog door? Yes No

Your History with Pets

Will this be your first dog to foster? Yes No

Will this be the first Golden Retriever you've fostered or cared for? Yes No

What other breed of dogs have you been the caregiver for?

Has a pet that has resided in your household died within the last 15 years? Yes No

Please include an explanation for each pet that has passed, including their age and under what circumstances.

Have any of your dogs had heartworm? Yes No

Care of Your Golden

Do all members of your family want to foster a Golden Retriever? Yes No

Why do you want to foster?

Why do you think you would be a good caregiver for a Golden?

Would you consider a special needs dog such as one who requires medication for a permanent but controlled condition? Yes No

What age Golden fits with your lifestyle and expectations? Please explain.

Are you aware that Golden Retrievers are very active? Yes No

Are you aware that Goldens are large dogs and may jump up on children and the elderly? Yes No

Is there anyone in your home who is adversely affected by dogs (e.g. allergies)? Yes No

Please explain...

Who will care for, train, and exercise the dog?

How will you provide exercise for your foster Golden?

Is anyone home during the day? Yes No

Who and what is their age?

Approximately how long will the Golden be left alone each day?

Where with the Golden be kept during the day when no one is home?

Post-Application Process

May we visit your home prior to approval? Yes No

Please indicate the best day and time that you and your family would be available for a home visit.

Please provide the name, address and phone number of your veterinarian.

Please list two references (other than your vet), their relationship to you and their contact information.

I/we attest that the information provided on this application is true and accurate to the best of my/our knowledge. I understand that any misrepresentations of fact may result in the removal of the foster dog from my home by GRRH.

I/We attest that the Terms and Conditions of Adoption as stated above have been read in full by me/us and I/we understand that these terms constitute a part of the adoption agreement between me/us and GRRH and will be enforced.

The volunteer assumes all risks relating to working with the GRRH dog(s). The volunteer hereby releases GRRH its officers directors participants volunteers and affiliates ("GRRH" Participants) from any and all claims actions liabilities damages and costs of any kind (claims and costs) arising out of transportation fostering or any other work or activity with any dog connected with GRRH or a dog owned by GRRH volunteer. If anyone in the volunteer's household makes a claim the volunteer will indemnify defend and hold GRRH and the GRRH participants harmless from such claims and costs. Volunteer hereby authorizes GRRH to contact the references or veterinarian contacts given in this application.

Name of applicant

In lieu of Signature, please type your full name

Date of Signature

Name of co-applicant (if applicable)

In lieu of Signature, please type your full name (Co-applicant)

Date of Co-Applicant Signature

GHHR Foster Application